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Infeksi Covid-19 pada tenaga kesehatan di wilayah kota Bandar Lampung Destriana Hasan; Nurhalina Sari; Nova Muhani
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.5122

Background: Indonesia requires the government to continue to carry out integrated prevention efforts through several steps including the involvement of health workers who are the main component in preventing the transmission of Covid-19, with the higher involvement of health workers, the higher the number of confirmed cases of Covid-19 among health workers. The high number of health workers who are positive for Covid-19 is due to the lack of optimization of health protocols.Purpose: Knowing the relationship between vaccination and the application of health protocols with Covid-19 infection in health workers at the Bandar Lampung Health CenterMethod: Quantitative research. The population of this research is health workers in Tanjung Karang, Kemilling and Sukarame Public Health Centers totaling 80. By using total sampling as respondents. Measuring tools and data collection used in this study in the form of a questionnaire. Data analysis using univariate and bivariate analysis.Results: The average age of respondents was 38.93 years, the majority were male, 81.3%, long working 3.78 years, dominant education was bachelor degree 58.7%, incidence of infection was 50%, vaccination was 91.3%, wearing masks 68.8%, washing hands 80%, maintaining distance 61.3%, avoiding crowds 53.8%, limiting mobility 56.3%, applying correct coughing and sneezing etiquette 77.6%.Conclusion: There is a significant relationship between using masks, washing hands, maintaining distance, avoiding crowds and limiting mobility with the incidence of Covid-19 in health workers with p-value <0.05. And there is no relationship between vaccination and applying cough and sneeze etiquette with the incidence of Covid-19 in health workers, with p-value >0.05.Keywords: Infection; Covid-19; Health Workers.Pendahuluan: Indonesia mengharuskan pemerintah terus melakukan upaya penanggulangan secara terpadu melalui beberapa langkah termasuk keterlibatan tenaga kesehatan yang menjadi komponen utama dalam melakukan pencegahan penularan Covid-19, dengan semakin tingginya keterlibatan tenaga kesehatan maka kasus terkonfirmasi postif Covid-19 pada tenaga kesehatan juga semakin tinggi, masih tingginya tenaga kesehatan yang positif Covid-19 dikarenakan kurangnya optimalisasi protokol kesehatan.Tujuan: Mengetahui hubungan antara vaksinasi dan penerapan protokol kesehatan dengan penularan Covid-19 pada tenaga kesehatan di kota Bandar LampungMetode: Penelitian kuantitatif dan populasinya tenaga kesehatan yang ada di Puskesmas Tanjung Karang, Kemilling dan Sukarame yang berjumlah 80. Dengan menggunakan total sampling sebagai responden. Alat ukur dan pegumpulan data yang digunakan dalam penelitian ini berupa kuesioner. Analisa data menggunakan analisis univariat dan bivariat.Hasil: Rata-rata umur responden 38.93 tahun, mayoritas jenis kelamin laki-laki 81.3%, lama bekerja 3.78 tahun, pendidikan dominan S1 58.7%, kejadian terinfeksi 50%, vaksinasi 91.3%, pemakaian masker 68.8%, mencuci tangan 80%, menjaga jarak 61.3%, menghindari kerumunan 53.8%, membatasi mobilitas 56.3%, menerapkan etika batuk dan bersin yang benar 77,6%.Simpulan: Ada hubungan yang signifikan antara menggunakan masker, mencuci tangan, menjaga jarak, menghindari kerumunan dan membatasi mobilitas dengan kejadian Covid-19 pada tenaga kesehatan dengan hasil p-value < 0.05. Dan tidak ada hubungan antara vaksinasi dan menerapkan etika batuk dan bersin dengan kejadian Covid-19 pada tenaga kesehatan, dengan hasil p-value >0.05.

Ketersediaan APD, pengetahuan, dan kecemasan perawat di masa pandemi Covid-19 Riny Apriani; Ambia Ambia
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.7283

Background: The massive spread of Covid-19 caused paralysis in almost all aspects, including the health aspect. In the health sector, nurses are at the forefront of dealing with Covid-19 patients.Purpose: To analyze the relationship between the availability of PPE, knowledge, and anxiety among nurses during the Covid-19 pandemicMethod: This research was conducted from July 2021 to September 2021 at the Madani General Hospital in Medan City. The data used are primary data, the method of collecting data uses the survey method, the population is hospital nurses and the number of samples is 50 nurses as respondents. The analytical method used is Pearson bivariate correlation analysis.Results: Found that there was a negative relationship between the availability of Personal Protective Equipment (PPE) and anxiety with an r coefficient of -0.559 and a significance level (p) of 0.000, and there was a negative relationship between knowledge and anxiety levels with an r coefficient of -0.480 with a significance level (p) of 0.000Conclusion: There is a negative and significant correlation between the availability of personal protective equipment (PPE) and knowledge of the anxiety among nurses during the Covid-19 pandemicSuggestion: Hospital management to provide optimal Personal Protective Equipment and provide information to improve knowledge and reduce the level of anxiety among nurses during the Covid-19 pandemicKeywords: Personal Protective Equipment (PPE); Knowledge; Nurses; Anxiety; Covid-19 pandemic Pendahuluan: Penyebaran Covid-19 yang sangat masif menyebabkan kelumpuhan hampir pada segala aspek termasuk aspek kesehatan. Pada bidang kesehatan, perawat menjadi garda terdepan dalam menangani pasien Covid-19.Tujuan: Untuk menganalisis korelasi antara ketersediaan alat pelindung diri (APD), pengetahuan dan kecemasan perawat di masa pandemi Covid-19Metode: Penelitian ini dilaksanakan pada bulan Juli 2021 sampai dengan September 2021 pada Rumah Sakit Umum Madani di Kota Medan. Data yang digunakan adalah data primer, metode pengumpulan data menggunakan metode survei, menggunakan sampel jenuh, dimana sampel seluruhnya berjumlah 50 perawat sebagai responden.Metode analisis yang digunakan adalah analisis korelasi bivariate pearson.Hasil: Diperoleh bahwa ada hubungan negatif antara ketersediaan Alat Pelindung Diri (APD) terhadap kecemasan dengan koefisien r sebesar -0.559 dan tingkat signifikansi (p) sebesar 0.000, ada hubungan negatif antara pengetahuan dengan tingkat kecemasan dengan koefisien r sebesar -0.480 dengan tingkat signifikasi (p) sebesar 0.000Simpulan: Ada korelasi negatif dan signifikan antara ketersediaan alat pelindung diri (APD) dan pengetahuan terhadap kecemasan perawat di masa pandemi Covid-19Saran: Manajemen rumah sakit untuk menyediakan Alat Pelindung Diri (APD) secara optimal dan memberikan informasi untuk meningkatkan pengetahuan dan mengurangi tingkat kecemasan perawat selama masa pandemi Covid-19

Analisis efektifitas ringkasan pulang elektronik dalam mendapatkan data klinis yang berkualitas Dian Widyaningrum; Aris Puji Widodo; Septo Pawelas Arso
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.6878

Background: Discharge summary format is the one of the enhancement applied to Rekam Medis Elektronik system at Dr Kariadi Hospital. Discharge Summary data is very important to support clinical diagnosis when the patient is about to apply for medical checkup or when he is going to be transferred/referred to another health facility. Discharge summary is also required in claim process by a health insurance verifier or a third party authorized to cover the cost of patient care during hospitalization. Electronic discharge summaries is reliable and it reduces time to read patient histories and search for relevant examination results, helping to find faults, mistakes, or error, missing information faster. There are no published research data on how the quality of the electronic discharge summary is measured. The human, organizational, and technology suitability (HOT-fit) model is utilized to evaluate the implementation of the RME and e-discharge summary as well as the perceived usefulness and acceptance of the developed system.Purpose: Knowing that correlation between human, organization and technology characteristics with perceived usefulness, perceived ease of use of RME and discharge summary and acceptance of the systems, using HOT Fits models in Kariadi General Hospital Semarang Central Java.Method: The research was conducted to knowledge variable by 100 copies questionnaire that sent out to physician who assess inpatient. Ninety nine completed copies returned, indicating a valid response rate of 99%. The questionnaire was filled out by the respondent immediately after verifying the return summary using RME. Data analyzed using Pearson Correlation test. Statistical test was considered significant if p < 0.05.Results: Upon e-Discharge Summary testing, self-efficacy of the responden at 69,7% in the implementation of e-discharge summary Perceived ease of use rated at 78.8% as easy to use; while 76.8% Perceive of usefulness rate was achieved as respondents found themselves easy to navigate and fulfill all the requirements when verifying the electronic discharge summary and RME.Conclusion: There is a significant correlation between Human Organization Technology characteristics with Net Benefit in HOT Fit models. These correlation effect discharge summary acceptance. Suggestions; Extensive and comprehensive evaluation on the development of electronic discharge summary and RME is required to meet the Non-physician care provider achievement.Keywords: Electronic Medical Records; Electronic Discharge Summary; HOT – Fit Models.Pendahuluan: Pengembangan rekam medis elektronik di RSUP dr Kariadi dengan salah satu format yang dielektronikkan adalah ringkasan pulang (discharge summary). Data yang ada di ringkasan pulang sangat penting untuk mendukung diagnosis klinis saat pasien akan melakukan kontrol ulang atau saat akan dirujuk ke fasilitas kesehatan lainnya. Manfaat lain dari ringkasan pulang yang terisi lengkap sebagai persyaratan yang mempengaruhi proses klaim oleh verifikator asuransi kesehatan atau pihak ketiga yang berwenang untuk menanggung biaya perawatan pasien selama rawat inap. Ringkasan pulang elektronik mengurangi waktu membaca riwayat pasien dan pencarian hasil pemeriksaan yang relevan, membantu menemukan kesalahan atau informasi yang hilang dengan lebih cepat dan lebih andal. Belum ada data penelitian yang terpublikasi tentang bagaimana kualitas ringkasan pulang elektronik diukur. Kerangka kerja manusia, organisasi, dan kesesuaian teknologi (HOT-fit) digunakan untuk mengevaluasi implementasi RME dan ringkasan pulang elektronik serta persepsi manfaat dan penerimaan terhadap sistem yang dikembangkan.Tujuan: Mengetahui Hubungan antara karakteristik Human Organization Technology dengan Net Benefit ringkasan pulang elektronik dan RMEMetode: Penelitian deskriptif korelasi dengan jumlah sampel 100 orang dokter penanggung jawab pasien (DPJP) dan Asisten DPJP yang menjalankan praktek di bangsal rawat inap Rumah Sakit Umum Pusat dr Kariadi Semarang. Kuesioner diisi oleh responden saat itu juga setelah melakukan verifikasi ringkasan pulang menggunakan RME. Uji korelasi menggunakan uji Pearson Correlation. Uji statistik dianggap bermakna jika p < 0,05.Hasil: Responden yang mengganggap dirinya mampu menggunakan ringkasan pulang elektronik (self efficacy) sebanyak 69,7% responden. Persepsi Kemudahan Penggunaan ringkasan pulang elektronik sebanyak 78,8% responden mudah memahami saat melakukan ujicoba ringkasan pulang elektronik. Sedangkan persepsi penerimaan Ringkasan pulang elektronik dan RME sebanyak 76,8% responden merasa terampil saat melakukan verifikasi ringkasan pulang elektronik. Penelitian ini Karakteristik Human, variabel kompatibilitas pengguna berhubungan secara bermakna dengan persepsi kemudahan penggunaan ringkasan pulang elektronik (p = 0,000). Karakteristik Organization, variabel Dukungan top manajemen berhubungan bermakna dengan persepsi manfaat dan persepsi kemudahan penggunaan ringkasan, variabel Kompetensi Tim Pengembang berhubungan bermakna dengan persepsi kemudahan penggunaan ringkasan pulang elektronik (p < 0,05). Karakteristik Teknologi berhubungan bermakna dengan persepsi manfaat dan kemudahan penggunaan ringkasan pulang elektronik. Persepsi Net Benefit berhubungan bermakna dengan penerimaan ringkasan pulang elektronik oleh penggunanya (p < 0,05).Simpulan: Terdapat hubungan bermakna antara karakteristik human organization technology dengan net benefit serta penerimaan pengguna terhadap ringkasan pulang elektronik dan RME. Saran: Evaluasi pengembangan ringkasan pulang elektronik serta RME secara menyeluruh dan komprehensif untuk melihat penerimaan profesional pemberi asuhan selain dokter.

Pengaruh latihan isometric handgrip terhadap tekanan darah penderita hipertensi pada lansia: Literature review Agus Miraj Darajat; Rulla Luqiana
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.7548

Background: Hypertension is a non-communicable disease, which occurs in systolic blood pressure of 140 mmHg and diastolic 90 mmHg. The Elderly is one of the factors of hypertension. Prevalence of Hypertension according to Riskesdas 2018, Hypertension occurs in the age group of 31-44 years (31.6%), age 45-54 years (45.3%), and age 55-64 years (55.2%). Physical activity that can be used to lower blood pressure is the Isometric Handgrip Exercise which is done with static exercises on contracting muscles, without any change in muscle length or hand joint movement.Purpose: Analyzing research articles related to the effect of isometric handgrip exercise on blood pressure in patients with hypertension in the elderly.Method: A literature Review method using a systematic design with a research sample of 11 journals consisting of 2 national journals and 9 international journals indexed by ISSN and DOI, the sample collection technique is using purposive sampling with inclusion and exclusion criteria in it, feasibility evaluation data using the JBI Critical Appraisal Checklist for Analytical Quasy Experimental.Results: Based on the evaluation of the feasibility of scoring, 9 international journals, and 2 national journals were included in category A (strong recommendation).Conclusion: Shows that there is an effect of isometric handgrip exercise on blood pressure in patients with hypertension in the elderly.Suggestion: The results of this Literature Review are expected to be the basis for providing complementary interventions for hypertension drugs in community settings and also for the development of further research.Keywords: Isometric Handgrip; Hypertension; Elderly. Pendahuluan: Hipertensi merupakan penyakit tidak menular, yang terjadi pada tekanan darah sistolik ≥140 mmHg dan diastolik ≥90 mmHg. Lansia merupakan salah satu faktor terjadinya Hipertensi. Prevalensi Hipertensi menurut Riskesdas 2018, Hipertensi terjadi pada kelompok usia 31-44 tahun (31,6%), usia 45-54 tahun (45,3%), usia 55-64 tahun (55,2%). Aktivitas fisik yang dapat digunakan untuk menurunkan tekanan darah adalah Latihan Isometric Handgrip yang dilakukan dengan latihan statis pada otot yang berkontraksi, tanpa adanya perubahan pada panjang otot atau pergerakan sendi tangan.Tujuan: Menganalisis artikel penelitian terkait latihan isometric handgrip terhadap tekanan darah penderita hipertensi pada lansia.Metode: Penelitian Literature Review dengan menggunakan desain Systematic dengan sampel penelitian berjumlah 11 jurnal yang terdiri dari 2 jurnal Nasional dan 9 jurnal Internasional yang terindeks ISSN dan DOI, tekhnik pengumpulan sampel yaitu menggunakan purposive sampling dengan kriteria inklusi dan ekslusi didalamnya, evaluasi kelayakan data menggunakan JBI Critical Appraisal Checklist for Analitycal Quasy Experimental.Hasil: Berdasarkan dari evaluasi kelayakan scoring didapatkan 9 jurnal Internasional dan 2 artikel Nasional yang termasuk dalam kategori A (rekomendasi kuat).Simpulan: Analisa hasil penelitian literature review ini menunjukan ada pengaruh latihan isometric handgrip terhadap tekanan darah penderita hipertensi pada lansia.Saran: Hasil Literature Review ini diharapkan dapat menjadi dasar dalam memberikan intervensi pendamping obat hipertensi di tatanan komunitas dan juga pengembangan penelitian lanjutan.

Perceived benefit, perceived barrier dan dukungan sosial terhadap perawatan diri pasien setelah operasi Coronary Artery Bypass Graft (CABG) Mulida Arifiati; Sri Yona; Tuti Herawati
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.7392

Background: CABG surgery is one of the surgical treatments for CHD and improves the patient's quality of life. However, patients who have undergone CABG remain at risk for ischemic events. Cardiovascular secondary prevention plays an important role to maintain the long-term patency of the graft, slowing the atherosclerotic process. Behavior change is influenced by a person's belief to change and support around him. The beliefs that are considered to have an effect on the pattern of behavior change are perceived benefits and perceived barriers.Purpose: To determine the relationship between perceived benefit, perceived barrier, and social support to patient self-care after CABG surgery.Method: Cross-sectional design, with a sample size of 75 respondents, inclusion criteria: CABG surgery patients more than 6 months, Age more than 30 years.Results: From the analysis, there are four significant relationships with self-care, education p-value of 0.015, perceived benefit p-value of 0.001, perceived barrier with a p-value of 0.004, and social support p-value of 0.000. What is not significant is the age p-value of 0.631 and knowledge p-value of 0.418 Gender p-value of 0.357.Conclusion: There is a significant relationship between perceived benefit, perceived barrier, and social support for patient self-care after CABG surgery.Keywords: Perceived Benefit; Perceived Barriers; Social Support; Self Care; CABG.Pendahuluan: Operasi CABG merupakan salah satu penanganan bedah pada PJK dan meningkatkan kualitas pasien kehidupan baik. Namun pasien yang telah menjalani CABG tetap berisiko untuk kejadian iskemik. Pencegahan sekunder kardiovaskular memainkan peran penting untuk mempertahankan jangka panjang patensi cangkok, memperlambat proses aterosklerotik. Perubahan perilaku dipengaruhi oleh keyakinan seseorang untuk berubah dan dukungan disekitarnya. Keyakinan yang dianggap berpengaruh terhadap pola perubahan perilaku adalah perceived benefit dan perceived barrier.Tujuan: Untuk mengetahui hubungan perceived benefit, perceived barrier dan dukungan sosial terhadap perawatan diri pasien setelah operasi CABG.Metode: Desain cross-secrtional, dengan jumlah sampel 75 responden, kriteria inklusi: Pasien operasi CABG lebih dari 6 bulan, Usia lebih dari 30 tahun.Hasil: Dari analisis terdapat empat hubungan yang bermakna terhadap perawatan diri, didapatkan pendidikan nilai p 0,015, perceived benefit nilai p 0,001, perceived barrier dengan nilai p 0,004 , dan dukungan social nilai p 0,000. Yang tidak bermakna yaitu usia nilai p 0.631dan pengetahuan nilai p 0.418 Jenis kelamin nilai p 0,357.Simpulan: Terdapat hubungan yang bermakna anatara perceived benefit, perceibved barrier, dan dukungan social terhadap perawatan diri pasien setelah operasi CABG.

Faktor predisposisi yang berhubungan dengan perilaku merokok pada mahasiswa Widyawati Widyawati; Juwi Athia Rahmini; Sri Dhamayani
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.7277

Background: Smoking habits provide enjoyment for smokers but can have a bad impact on smokers themselves and those around them so the smoking problem has become a national problem where Indonesia is still the third country with the most active smokers in the world.Purpose: To find out what predisposing factors are related to smoking behavior in students of the D3 Electrical Technology Study Program at STIKes Binalita Sudama Medan.Method: This type of research is quantitative research, with a cross-sectional approach. The population is students, the sample is 60 respondents. The analysis used univariate, bivariate, and multivariate. The statistical test used is the Chi-Square test and the multiple linear regression test.Results: Respondents who smoked were 29 respondents (48.3%). The results of the bivariate analysis showed that the variables related to smoking behavior in respondents were, level of knowledge (p = 0.000), attitude (p = 0.002), action (p = 0.001), psychological reasons: felt difficulty in learning (p = 0.040), seen cool (p = 0.009), wants to be accepted in the association (p = 0.020).Conclusion: There is a significant relationship between predisposing factors (knowledge, attitudes, actions and psychological reasons) with smoking behavior in students. The most dominant factor related to smoking behavior in respondents is knowledge (B value = 0.375 and p = 0.000).Keywords: Smoking Behavior; Knowledge; Attitudes; StudentPendahuluan : Kebiasaan merokok dianggap dapat memberikan kenikmatan bagi perokok, tetapi dapat menimbulkan dampak yang buruk bagi perokok itu sendiri maupun orang di sekitarnya, sehingga masalah rokok sudah menjadi masalah nasional dimana Indonesia masih menjadi negara ketiga dengan perokok aktif terbanyak di dunia. Tujuan : Mengetahui faktor predisposisi apa saja yang berhubungan dengan perilaku merokok pada mahasiswa Program Studi D3 Teknologi Elektro Medis STIKes Binalita Sudama Medan,Metode : Penelitian kuantitatif, dengan pendekatan cross sectional. Populasinya mahasiswa, dengan sampelnya 60 responden. Analisis yang digunakan univariat, bivariat dan multivariat. Uji statistic yang digunakan adalah uji Chi Square dan uji regresi linear bergandaHasil : Responden yang merokok sebanyak 29 responden (48,3%). Hasil analisa bivariat didapatkan variabel yang berhubungan dengan perilaku merokok pada responden adalah, tingkat pengetahuan (p=0,000), sikap (p=0,002), tindakan (p=0,001), alasan psikologis: merasa kesulitan dalam pelajaran (p=0,040), terlihat keren (p=0,009), ingin diterima dalam pergaulan (p=0,020).Simpulan : Terdapat hubungan bermakna antara faktor predisposisi (pengetahuan, sikap, tindakan dan alasan psikologis) dengan perilaku merokok pada mahasiswa. Faktor yang paling dominan berhubungan dengan perilaku merokok pada responden adalah pengetahuan (Nilai B = 0,375 dan p = 0,000)

Efektivitas Home Based Exercise Training (HBET) terhadap kualitas hidup pasien gagal jantung Rendi Kurniawan; Djunizar Djamaludin; Usastiawaty Cik Ayu Saadiah Isnainy
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.3903

Background: In Indonesia, physical training is carried out centrally in hospitals. Official data on the coverage and participation of this program in heart failure patients in Indonesia have not been obtained. Home-based exercise training (HBET) can be an option for physical exercise and an alternative solution in order to reduce patients' participation in physical exercise. HBET is a programmed physical exercise that patients can perform independently at home.Purpose: To examine the effects of home-based exercise training (HBET) on the quality of life in patients with heart failure.Method: One group pretest-posttest design was employed with purposive sampling technique. The sample used was 15 participants who were outpatients at Gedong Air Community Health Center, Bandar Lampung City. Participants were given the Home-based exercise training (HBET) program for 14 days subsequently the participants was measured using the Minesota Living with Heart Failure Quistionaire to determine the quality of life.Results: There is an effect of home based exercise training (HBET) on the quality of life of patients with heart failure with p-value of 0.000. The mean score of quality of life before being given home based exercise training (HBET) is 35.93 ± 6.770 and the mean score after giving intervention is 57.13 ±7,469.Conclusion: There is an effect of home-based exercise training (HBET) on the quality of life of patients with heart failure.Suggestion: This physical exercise home-based exercise training (HBET) should be an integral part of the rehabilitation program for patients with heart failure after discharge from the hospital so that it can reduce rehospitalizations and improve quality of life.Keywords: Home Based Exercise Training (HBET); Quality of Life; Patients; Heart Failure.Pendahuluan: Di Indonesia latihan fisik dilakukan secara terpusat di rumah sakit. Data resmi tentang cakupan dan partisipasi program ini pada pasien gagal jantung di Indonesia belum didapatkan. Home-based exercise training (HBET) dapat menjadi salah satu pilihan latihan fisik dan alternative solusi rendahnya partisipasi pasien mengikuti latihan fisik. HBET merupakan latihan fisik terprogram yang dapat dijalankan oleh pasien secara mandiri di rumah.Tujuan: Untuk menilai pengaruh home-based exercise training (HBET) terhadap kualitas hidup pasien gagal jantung.Metode: Rancangan penelitian one group pretes-postes design dengan tehnik sampling yaitu purposive samping. Sampel yang digunakan sebanyak 15 partisipan yang merupakan pasien rawat jalan di Puskesmas Gedong Air Kota Bandar Lampung. Pada saat intervensi partisipan diberikan program Home-based exercise training (HBET) selama 14 hari kemudian setelah itu di ukur menggunakan Minesota Living with Heart Failure Quistionaire untuk mengetahui kualitas hidupnya.Hasil: Terdapat pengaruh home based exercise training (HBET) terhadap kualitas hidup pasien gagal jantung dengan nilai p-value 0,000. Nilai rata-rata kualitas hidup sebelum diberikan home based exercise training (HBET) yaitu 35,93 dengan standar deviasi 6,770 dan nilai rata-rata sesudahnya yaitu 57,13 dengan standar deviasi 7,469.Simpulan: Ada pengaruh home based exercise training (HBET) terhadap kualitas hidup pasien gagal jantung.Saran: Latihan fisik home based exercise training (HBET) ini hendaknya menjadi bagian integral program rehabilitasi pasien gagal jantung setelah pulang dari rumah sakit sehingga dapat menurunkan rawat inap dan meningkatkan kualitas hidup.

Mendorong perubahan sikap perokok aktif melalui komunikasi kesehatan yang efektif Zaidayati Zaidayati; Lolita Sary; Christin Angelina Febrianti
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.6866

Background: The communication model that has been implemented for patients at the Batin Manguang Tanggamus Hospital until now has not yet given a comprehensive effect on patients who are still actively smoking, in fact, there are still patients who are still actively smoking.Purpose: To find out the effectiveness of the health communication model in encouraging changes in the attitude of active smokersMethod: Quantitative research design using quasi-experimental. The population is outpatients (internal medicine) who are still actively smoking in RSUD Batin Manguang, the number of samples is 30 participants who are grouped into 3 groups and each group contains 10 participants. The intervention of each group is different, namely by doing linear communication intervention, interactional communication intervention, and transactional communication intervention. Univariate data analysis used the mean (mean), median, minimum and maximum values and standard deviation (standard deviation) of attitudes, the bivariate analysis used t-test, and multivariate analysis used One way ANOVA.Results: There are differences in attitudes who underwent linear communication intervention, interactional communication intervention, and transactional communication intervention. Based on multivariate analysis with ANOVA, it was found that there was no dominant communication on changes in the attitude of hypertensive patients who smoked.Conclusion: There are differences in attitude values after the intervention of linear communication, interactional communication, and transactional communication with a p-value <0.05. And there is no communication intervention model that is the most dominant towards changing attitudes of hypertensive patients who smoke (p-value > 0.05).Suggestion: For health workers at Batin Mangunan Hospital, Tanggamus Regency, can apply linear communication interventions, interactional communication interventions, and transactional communication interventions in order to change the behavior who are still smoking. In addition, health workers evaluate the communication interventions that have been implemented in hospitals.Keywords: Health communication; Linear communication; Interactional communication; Transactional communication; Attitude; active smokers.Pendahuluan: Model komunikasi yang diimplementasikan kepada pasien di RSUD Batin Mangunang Tanggamus sampai saat ini masih belum memberikan efek secara menyeluruh kepada pasien yang masih aktif merokok, faktanya masih ditemukan pasien yang masih aktif merokok.Tujuan: Untuk mengetahui efektifitas model komunikasi kesehatan dalam mendorong perubahan sikap perokok aktifMetode: Kuantitatif dengan desain penelitian menggunakan quasi eksperimen. Populasinya pasien rawat jalan (penyakit dalam/ internal medicine) yang masih aktif merokok di RSUD Batin Mangunang, jumlah sampel sebanyak 30 partisipan yang dikelompokkan menjadi 3 kelompok dan masing-masing kelompok berisi 10 partisipan. Intervensi setiap kelompok berbeda-beda yaitu dengan dilakukan intervensi komunikasi linier, intervensi komunikasi interaksional dan intervensi komunikasi transaksional. Analisis data univariat menggunakan nilai rata-rata (mean), nilai tengah (median), nilai minimum dan maksimum serta simpangan baku (standar deviasi) sikap, analisis bivariat menggunakan uji t dan analisis multivariat menggunakan One way anova.Hasil: Terdapat perbedaan sikap yang dilakukan intervensi komunikasi linier, intervensi komunikasi interaksional dan intervensi komunikasi transaksional.Berdasarkan analisis multivariat dengan annova, maka diperoleh hasil bahwa tidak ada komunikasi yang dominaterhadap perubahan sikap pasien , yang merokok.Simpulan: Ada perbedaan nilai sikap setelah intervensi komunikasi linier, komunikasi interaksional dan komunikasi transaksional dengan hasil p-value <0.05. Dan tidak ada model intervensi komunikasi yang paling dominan terhadap perubahan sikap (p-value > 0.05).Saran: Bagi petugas kesehatan di RSUD Batin Mangunang Kabupaten Tanggamus dapat menerapkan semua model dalam rangka merubah perilaku pasien perokok aktif. Selain itu petugas kesehatan melakukan evaluasi terhadap intervensi komunikasi yang selama ini telah diterapkan di rumah sakit.

Motivasi eksternal dan internal perawat dengan penerapan pasien safety Esti Handayani; Eka Yudha Chrisanto; M. Arifki Zainaro
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.3895

Background: Based on data at the inpatient, it was reported that the Near Miss (NM) of the Tegineneng inpatient health center was 10.5%, the Near Miss (NM) 6.15%, and in Kedondong reported an indicator of complete initial clinical assessment of 50%, Wash Your Hands With Soap compliance of 80%, and the use of PPE of 80%. Inpatient Hanura reported the incidence of nosocomial infections in 2018 was 7, and in 2018 was 7.30%, and in 2019 it increased to 7.60%.Purpose: To know the relationship between external and internal motivation of nurses with the application of patient safety in inpatient health centers.Method: Quantitative research design, descriptive correlative research design using cross sectional study, population and sample in this study were 40 respondents, data analysis used univariate and bivariate using chi square test.Results: The distribution of respondents knowledge about the external motivation of nurses with good application of patient safety was 20 respondents 55.0%, 18 respondents 45.0 % poorly, then the internal motivation of nurses with the application of good patient safety was 32 respondents 80.0%, less good as many as 8 respondents 20.0% the results of statistical tests using the chi square test obtained p-value = 0.289 (> 0.05), p-value = 0.049 ( > 0.05).Conclusion: p-value = 0.385 (> 0.05), which means that there is no relationship between the external motivation of nurses and the application of patient safety. The results of statistical test using the chi square test obtained P-value = 0.049 (> 0.05), which means that there is a relationship between the internal motivation of nurses and the application of patient safety.Keyword: Motivation; Internal; External; Patient; Safety.Pendahuluan: Berdasarkan data di UPT Puskesmas Rawat Inap dilaporkan angka kejadian tidak diharapkan (KTD) Puskesmas Rawat Inap Tegineneng sebesar 10.5 %, Kejadian Nyaris Cidera (KNC) 6.15%. Puskesmas Rawat Inap Kedondong dilaporkan Indikator Pengkajian Awal Klinis yang terisi lengkap sebesar 50%, Kepatuhan Cuci Tangan Dengan Sabun 80%, dan penggunaan APD 80%. Puskesmas Rawat Inap Hanura dilaporkan Kejadian Infeksi Nosokomial tahun 2018 sebesar 7.30% dan di tahun 2019 meningkat menjadi 7.60%.Tujuan: Diketahui hubungan motivasi eksternal dan internal perawat dengan penerapan pasien safety di puskesmas rawat inap.Metode: Penelitian kuantitatif, rancangan penelitian deskriptif korelatif dengan menggunakan rancangan cross sectional study, populasi dan sampel dalam penelitian ini adalah perawat sebanyak 40 responden, analisa data menggunakan univariat dan bivariat menggunakan uji chi square.Hasil: Distribusi pengetahuan responden tentang motivasi eksternal perawat dengan penerapan pasien safety baik sebanyak 20 responden (55.0%), buruk sebanyak 18 responden (45.0%), kemudian motivasi internal perawat dengan penerapan pasien safety baik sebanyak 32 responden (80.0%), buruk sebanyak 8 responden (20.0%). Hasil uji statistik menggunakan uji chi square didapat nilai p-value=0.289 (>0,05), p-value =0.049 (>0.05).Simpulan : p-value =0.289 (>0.05) yang artinya tidak terdapat hubungan motivasi eksternal perawat dengan penerapan pasien safety. Hasil uji statistik menggunakan uji chi square didapat nilai p-value=0,049 (>0.05) yang artinya ada hubungan motivasi internal perawat dengan penerapan pasien safety.

Pengetahuan dan sikap remaja tentang protokol kesehatan di masa new normal Putu Noviana Sagitarini; Ni Komang Tri Agustini
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.6166

Background: On March 11, 2020, the World Health Organization (WHO) declared Covid-19 a worldwide pandemic. The number of Covid-19 cases worldwide is increasing every day. The Indonesian government uses the terms Restrictions on Community Activities and Large-Scale Social Restrictions to decrease Covid-19 cases. However, since early June 2020, the Government of Indonesia has begun to relax Restrictions on Community Activities and Scaled Social Restrictions and hopes that people will adopt new habits, better known as the new normal. The application of health protocols to break the chain of the spread of Covid-19, especially in adolescents, requires good understanding and knowledge so that adolescents can have a positive attitude towards health protocols in order to reduce the transmission of Covid-19.Purpose: Knowing that there is a relationship between knowledge and adolescent attitudes about health protocols in the new normal.Method: This study uses a descriptive correlation design through a cross-sectional approach. The sampling method is probability sampling with simple random sampling. The number of research samples was 191 respondents. The data collection tool used is a questionnaire. Data were analyzed using univariate analysis and bivariate analysis with the Spearman Rho test.Results: The results of the analysis showed that most of the respondents had knowledge in a good category, namely 56%, and as many as 52.9% of respondents had attitudes in a good category about health protocols in the new normal period. Bivariate analysis showed that there was a relationship between knowledge and adolescent attitudes about health protocols in the new normal period with p-value < 0.001 and r value = 0.730, which means the strength of the relationship is in a strong category.Conclusion: There is a positive relationship between knowledge and adolescent attitudes about health protocols in the new normal at SMK PGRI 3 Denpasar.Keywords: Knowledge; Attitude; Adolescent; Health Protocol; New Normal; post-COVID-19 eraPendahuluan: Pada tanggal 11 Maret 2020, World Health Organisation (WHO) menyatakan bahwa Covid-19 sebagai penyakit pandemi di seluruh dunia. Jumlah kasus Covid-19 di seluruh dunia setiap harinya mengalami peningkatan. Pemerintah Indonesia menggunakan istilah Pembatasan Kegiatan Masyarakat dan Pembatasan Sosial Berskala Besar untuk mengurangi peningkatan kasus Covid-19. Namun sejak awal Juni 2020, Pemerintah Indonesia mulai melonggarkan Pembatasan Kegiatan Masyarakat dan Pembatasan Sosial Berskala dan berharap masyarakat mengadopsi kebiasaan baru yang lebih dikenal dengan new normal. Penerapan protokol kesehatan guna pemutusan mata rantai penyebaran Covid-19 terutama pada remaja memerlukan pemahaman dan pengetahuan yang baik sehingga remaja bisa bersikap yang positif terhadap protokol kesehatan guna mengurangi penularan Covid-19.Tujuan: Mengetahui ada hubungan antara pengetahuan dengan sikap remaja tentang protocol kesehatan di masa new normal.Metode: Penelitian ini menggunakan desain deskriptif korelasi melalui pendekatan cross-sectional. Cara pengambilan sampel dengan probability sampling dengan simple random sampling. Jumlah sampel penelitian sebanyak 191 responden. Alat pengumpulan data yang digunakan adalah kuesioner. Data dianalisis menggunakan analisis univariat dan analisis bivariat dengan uji Spearman Rho.Hasil: Hasil analisis didapatkan sebagian besar responden memiliki pengetahuan dengan kategori baik yaitu 56%, sebanyak 52,9% responden memiliki sikap dengan kategori baik tentang protokol kesehatan di masa new normal. Analisis bivariat menunjukkan bahwa ada hubungan antara pengetahuan dengan sikap remaja tentang protokol kesehatan di masa new normal dengan p value< 0,001 dan nilai r = 0,730 yang artinya kekuatan hubungannya termasuk kategori kuat.Simpulan: Terdapat hubungan positif antara pengetahuan dengan sikap remaja tentang protocol kesehatan di masa new normal di SMK PGRI 3 Denpasar.

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Teguh Pribadi

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Editorial Address
Universitas Malahayati Bandar Lampung, Indonesia Jl Pramuka No. 27 Kemiling Bandar Lampung, Indonesia

Location
Kota bandar lampung,

Lampung

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Teguh Pribadi

Contact Email teguh@malahayati.ac.id

Phone +6282282204653

Journal Mail Official holistik@malahayati.ac.id

Editorial Address Universitas Malahayati Bandar Lampung, Indonesia Jl Pramuka No. 27 Kemiling Bandar Lampung, Indonesia

Location Kota bandar lampung, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Teguh Pribadi

Contact Email
teguh@malahayati.ac.id

Phone
+6282282204653

Journal Mail Official
holistik@malahayati.ac.id

Editorial Address
Universitas Malahayati Bandar Lampung, Indonesia Jl Pramuka No. 27 Kemiling Bandar Lampung, Indonesia

Location
Kota bandar lampung,

Lampung

INDONESIA